2026 NPPES data Adult Health Nurse Practitioner NPI 1699362020 NP
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MICHAEL BABINSKI, NP

Adult Health Nurse Practitioner in HIGHLAND, Illinois. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
5K
Medicare Part D claims · 247 beneficiaries · Adult Health Nurse Practitioner avg: 1K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$638.31
30 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MICHAEL BABINSKI, NP is a Adult Health Nurse Practitioner ([object Object]) practicing in HIGHLAND, Illinois with a Medicare Part D prescribing footprint of 5K claims across 247 beneficiaries — 14% brand-name prescribing . Industry payments of $638.31 across 30 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MICHAEL BABINSKI, NP filed 5,316 Medicare Part D claims in 2023 across HIGHLAND, Illinois. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

MICHAEL BABINSKI, NP at a glance

Quality data not reported

NPI registry status

Active

Issued 12/31/2020

NPI 1699362020

Primary specialty

Adult Health Nurse Practitioner

Mid-sized

29,492 US NPIs in this specialty

Medicare Part D claims

5,316 343% vs specialty avg

2023 prescription claims

Specialty avg: 1,201

Specialty distribution in Illinois

How Adult Health Nurse Practitioner compares to other specialties among Illinois providers

Illinois providers

Adult Health Nurse Practitioner share within Illinois

1. Adult Health Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Health Nurse Practitioner share within Illinois

Specialty board-certification context

Estimated specialty board-certified rate — Adult Health Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Adult Health Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Adult Health Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Adult Health Nurse Practitioner) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

MICHAEL BABINSKI, NP is a Adult Health Nurse Practitioner provider practicing in HIGHLAND, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: NP. NPI: 1699362020. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MICHAEL BABINSKI, NP appears in the CMS NPPES registry as a Adult Health Nurse Practitioner provider holding NP credentials at 12860 TROXLER AVE, HIGHLAND, IL, 62249, with a listed phone of (618) 651-2810. NPI 1699362020 was issued on 12/31/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BABINSKI most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 5,316 prescription claims written by this provider, covering 247 Medicare beneficiaries and totaling roughly $596K in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 12.5%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Adult Health Nurse Practitioner is a mid-sized specialty nationwide, with 29,492 enrolled providers across 55 states and an average of 1,201 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

12860 TROXLER AVE
HIGHLAND, IL 62249

Provider Details

NPI 1699362020
Specialty Adult Health Nurse Practitioner
Credentials NP
Gender Male
NPI Issued 12/31/2020

Hospital and facility affiliations

Facilities where MICHAEL BABINSKI, NP bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

APG NETWORK, LLC
EDWARDSVILLE, IL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for MICHAEL BABINSKI, NP. Source: openpaymentsdata.cms.gov.

Total received

$638

Largest payer

Phathom Pharmaceuticals, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Illinois IDFPR 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 — they are NOT specific to MICHAEL BABINSKI, NP. To verify MICHAEL BABINSKI, NP's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

MICHAEL BABINSKI, NP — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 5,316 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

5,316
Total Claims
$596K
Total Drug Cost
247
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
9,810
Total Day Supply
284,231
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$493K
Generic Drug Cost
$101K
Opioid Claims
666 (12.5% rate)
Antibiotic Claims
127

Patient Demographics

Average Patient Age
68.4 years
Avg HCC Risk Score
1.49
Gender Split
58% female / 42% male
Age Distribution
<65: 72, 65-74: 103, 75-84: 52, 85+: 20

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
375
Atorvastatin Calcium
201
Tramadol Hcl
196
Lisinopril
193
Amlodipine Besylate
178
Alprazolam
167
Gabapentin
166
Albuterol Sulfate Hfa
Albuterol Sulfate
144
Losartan Potassium
117
Omeprazole
113

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Adult Health Nurse Practitioner Overview

How MICHAEL BABINSKI, NP fits within the Adult Health Nurse Practitioner landscape nationally.

29,492
Adult Health Nurse Practitioner Providers in US
55
States with Adult Health Nurse Practitioner
1,201
Avg Claims per Provider

MICHAEL BABINSKI, NP's 5,316 claims are above the specialty average of 1,201.

Nearby Adult Health Nurse Practitioner Providers in Illinois

Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as BABINSKI.

Compare Adult Health Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is MICHAEL BABINSKI, NP's specialty?
MICHAEL BABINSKI, NP specializes in Adult Health Nurse Practitioner and practices in HIGHLAND, Illinois. Credentials: NP.
How much does MICHAEL BABINSKI, NP prescribe under Medicare Part D?
In 2023, MICHAEL BABINSKI, NP wrote 5,316 Medicare Part D claims totaling $596K in drug costs for 247 beneficiaries.
Where is MICHAEL BABINSKI, NP located?
MICHAEL BABINSKI, NP is located at 12860 TROXLER AVE, HIGHLAND, IL, 62249. Phone: (618) 651-2810.
What is MICHAEL BABINSKI, NP's NPI number?
MICHAEL BABINSKI, NP's National Provider Identifier (NPI) is 1699362020, issued on 12/31/2020.
Does MICHAEL BABINSKI, NP prescribe more brand-name or generic drugs?
MICHAEL BABINSKI, NP's prescribing is 14% brand-name and 86% generic drugs by claim count, with $493K in brand drug costs.
Does MICHAEL BABINSKI, NP prescribe opioids?
Yes, MICHAEL BABINSKI, NP had 666 opioid claims in 2023 with an opioid prescribing rate of 12.5%.
How many Adult Health Nurse Practitioner providers are there in the US?
There are 29,492 Adult Health Nurse Practitioner providers across 55 states in the US. The average Adult Health Nurse Practitioner provider writes 1,201 Medicare Part D claims per year.
What drugs does MICHAEL BABINSKI, NP prescribe most often?
Based on 2023 Medicare Part D data, MICHAEL BABINSKI, NP's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Atorvastatin Calcium, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MICHAEL BABINSKI, NP accept Medicare?
MICHAEL BABINSKI, NP appears in CMS Medicare data with 5,316 Part D claims and 247 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHAEL BABINSKI, NP's credentials?
MICHAEL BABINSKI, NP's NPI is 1699362020 with credentials NP. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology